Healthcare Provider Details

I. General information

NPI: 1205696622
Provider Name (Legal Business Name): AHUVA ZAGHI BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2024
Last Update Date: 03/21/2024
Certification Date: 03/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 REDLAND CT STE 102
OWINGS MILLS MD
21117-3265
US

IV. Provider business mailing address

500 REDLAND CT STE 102
OWINGS MILLS MD
21117-3265
US

V. Phone/Fax

Practice location:
  • Phone: 443-738-5110
  • Fax:
Mailing address:
  • Phone: 443-738-5110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-24-71092
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: